|
<br />(PAGE L) ~/a-,
<br />MINE ID !k OR PROSPECTING ID ~; I"f ~-~~-O7J~
<br />INSPECTION DATE ~~I~--9`~-
<br />OBSER~ TIpNS
<br />~i
<br />INSPECTOR'S INITIALS``
<br />f~N,~J-u~.t„ RQpati S "THE-7" 5R-c7C14PlL-eb I-/~9~,R/I~ c,.7li 5 ,t3R.M~J6
<br />J2e M a ve. y~ ti Y SIQ-p3 N, rs u, e~l_ C; truelTy~ e /q C ti ~ 2 q /Z, Rns ra TAI-.4T •~r7~-I -e
<br />CouiJlry c~rLL Rer-r~a~re K/4-`R?2+~},L IN P'[.c'ruR.e Yer4-R5. Tlf-IS IS
<br />No ~ •Ti2u,e , rdk. ,~t3/~e~7-5 Amp ~~., Ke,2sL~,nw s~-~v-rn>, T~~r
<br />S 7b ~= f< P! L2 ~ M /'~?~' 12 F iQ•C. /~lQ-SJ~S `4' /.~ +zR.N R~ ht a vg A rb~R S2-tJ~L
<br />~jE.lq-R.S,. 1/~1 ~4/Jl)FY'GOrt3~ h12: ~~3Li2F2T5 /-c~ST /-F/S Rl6HT b~ 2a~tT2Y
<br />~(Y12 S~-~q fFY.3p GfZRW~2L eK~R.AL'y"FO/~ 1°u.RPoS2S SC?UeRA'C.. Yep-fLS
<br />~vb gu ~ r.se~e.r~, n~~rcr~r-erg rHe. Dlvlsao~l_ ~1~. R~3r.3z/e.~~ ns~s
<br />?'e 2e-e.~r~~Ushb q.CC.e.SS R(~FfT~S o/.Z /3C:GIe.D RazC~~rMlR1,
<br />7'1~ ~ ! T2 , ~.. ~t-r,l- r~ta7~2 Y~H-t S •4-S .4 Pa.a(~Ge~ <ii.; D G F ts~ H R . ~ Ci/3e~7'S
<br />~O D~-YS TO P-/3rd-`f~ ~"/~ PROnsc.~o-ro T~ rt,~ Fs[iere,-rs gcQu~~ces
<br />F}D.toT,d-e. !Z, C,t>oJY'RA~T PR4s~2 97fe /i l-r'! ~ ~'H e otit ~.Y cay.} St 9'a R eAl e w
<br />J~C~55 ,¢.t~r-NTS~ lam. SG~.ou.L4 S~lYJ ,c~Cal°V Yat7'H~ ai~sr5Fc~. i~
<br />H R , G-t /3/,Sel2.T5 D•e.Gr D e $ Tb ~~~,vi !L¢~t•/3-ff ~-Tzo~{ ~ Ale 5 ~-~.a t,~ c.. h Sub H ! T
<br />/-~. `erq'e,rZ, Yb '~i 2 1Jf1J,54oDJ csuTL4AI/A,3C-, ~ `7'lNte`T/f-~i~-2 0~
<br />q.C Y', ,3/ q'6'e S ,.
<br />?'1-1~2 Ar 5 ~pF~ra•rTHGnYT UAu~?Y I~eR.rr rY• Co-niT~/nJS 4,~f a /.}C225. Gcu/L~ec~YLY
<br />/}/3o~u.'~' z: z.8 A-~ReS ~4RQ DisvuP~ie~ ~~/~ rtiTeu-i
<br />~e~ .14 R~R~S al; ~
<br />q-~e/e• ~ 5 R.e>/9-A ~ . i t~ P 5 a t ~. c~%R 5 5'r2 i FF8 T~ o ~ R 77}~ s r 7-e F~ rs p Pc,~}eep
<br />~ Rouo.rJJ Yf~c? N o r2~ r 214ST a1-ti ~ PA-+e.T a r= iH-e Sau.~r•~ Pe~•~r -~'
<br />go~,tinfrD+y-rLYa A- SCr2sae~r2n r-tq~erLFI~L ~¢0~7rJ o~RS/~4 ~~TeRr~L
<br />S T'OC K (~ r e.e r S c-a e r4re,p /}lr' TF{e. 5aU~rf Pe.~ r, iy' /,icucJ os},¢ y~ `~.
<br />' i"~ l~ S o t l,. ! 5 5 Y7-~-Q (,r /J ~1 D u~e-~ ~'-Y~-9'e.1j ~ q S r~l M ~-Y"T'e.Yt a~ FAC.~
<br />A1/~`TIlJ2 Ue6eT•/'{TrDe~{ /x.45 eN~Roo4Cf,,e1~ r~vre `7'AIL~ Drs7urz.Xi¢4,4/t¢q
<br />c.f~-y~-TF~J6 ~4 SP,~25e ~r~,r~ o~ Sr-c~TC~ ~3~4.cs~se~ R~.B~Fr32r~51.,,~ Spr1~j
<br />CjR,Of'Sz¢,p r /!'J Al~rJ RFC~.,6RR-SS '9~.3 rJ f~ ~uJ YduNG J i!^tl1~e~' 'T2e¢5,
<br />TNa-Rsz. r5 .4 Sw.a~c.,L r-~r-ounr'r ol~ R.uss/stir Y'ff/STZe .4N~j A- f=eW
<br />kNr~PPU7eeb P~~TS otic S c9'2,
<br />I & E Contact Address
<br />NAME _ CC J,M S'T'eUea1S
<br />OPERATOR I{r~F t F[{C{Q• q-S 1~dbeR'f- K2R5~,i}W
<br />STREET ~bX ,map /3Lc"f
<br />'7 b f C~ K/Ato JJei R r o
<br />C[rrisrArErzIP L6A1r~R~ Ci.~,.8/ 3~ pu~2.~eJeo;~,8'13of
<br />5~49F
<br />
|